The potential of the hospital-based Health Technology Assessment: Results of a world-wide survey.

IF 2.6 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Rossella Di Bidino, Iga Lipska, Monika Kukla, Marina von Pinoci, Sara Consilia Papavero, Marco Marchetti, Laura Sampietro-Colom, Americo Cicchetti
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引用次数: 0

Abstract

Objectives: Hospital-Based Health Technology Assessment (HB-HTA) is a heterogeneous phenomenon constantly evolving to respond to the needs of decision-makers at the hospital level. In 2023, The HB-HTA Interest Group of Health Technology Assessment International (HTAi) surveyed HB-HTA activities with the aim to provide an updated description of the actual scenario.

Methods: An online survey was conducted to gather data on the main characteristics of hospitals, HB-HTA activities, outputs, role in the decision-making processes, dissemination and training activities, and their interaction and collaboration with other stakeholders and HTA-related regulations. Finally, the survey collected feedback on the perception of and current barriers to HB-HTA. Three categories of responders were identified: Both hospitals performing and not performing HTA and policymakers.

Results: Eighty-seven responses were collected from twenty-eight countries. Nearly half of the responders (n = 41) conducted HB-HTA, whereas eighteen consisted of hospitals not performing HTA, and twenty-eight were policy makers. HB-HTA was performed mainly in hospitals with >500 beds. HB-HTA units were organized in 40 percent of cases as an "independent group." The survey showed that HTA units could contribute to all the steps of the decision-making processes, whereas the impact of the assessments on the decisions was mainly perceived as a medium. Furthermore, HB-HTA was not seen as a duplication of effort, even without specific regulations.

Conclusions: The survey highlighted the role of HB-HTA in hospital decision-making supporting the vision of HB-HTA as one of the actors in the HTA ecosystem, the success of which depends on collaboration with other stakeholders.

基于医院的卫生技术评估的潜力。一项全球调查的结果。
目的:基于医院的卫生技术评估(HB-HTA)是一个不断发展的异质现象,以响应医院层面决策者的需求。2023年,卫生技术评估国际(HTAi)的HB-HTA兴趣小组调查了HB-HTA的活动,目的是提供对实际情况的最新描述。方法:通过在线调查,收集医院的主要特征、HB-HTA的活动、产出、在决策过程中的作用、传播和培训活动、与其他利益相关者的互动和协作以及hta相关法规等方面的数据。最后,调查收集了对HB-HTA的认知和当前障碍的反馈。确定了三类响应者:执行和不执行HTA的医院和政策制定者。结果:从28个国家收集了87份回复。近一半的应答者(n = 41)进行了HB-HTA,而18个包括不执行HTA的医院,28个是政策制定者。HB-HTA主要在床位500张的医院开展。在40%的病例中,HB-HTA单位被组织为“独立小组”。调查显示,卫生评价单位可以对决策过程的所有步骤作出贡献,而评价对决策的影响主要被视为一种媒介。此外,即使没有具体规定,HB-HTA也不被视为重复工作。结论:调查强调了HB-HTA在医院决策中的作用,支持了HB-HTA作为HTA生态系统参与者之一的愿景,其成功取决于与其他利益相关者的合作。
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来源期刊
International Journal of Technology Assessment in Health Care
International Journal of Technology Assessment in Health Care 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
15.60%
发文量
116
审稿时长
6-12 weeks
期刊介绍: International Journal of Technology Assessment in Health Care serves as a forum for the wide range of health policy makers and professionals interested in the economic, social, ethical, medical and public health implications of health technology. It covers the development, evaluation, diffusion and use of health technology, as well as its impact on the organization and management of health care systems and public health. In addition to general essays and research reports, regular columns on technology assessment reports and thematic sections are published.
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